Nursing care for Pulmonary Tuberculosis in Patients with HIV/AIDS: 2 case studies

Abstract

      This study was case study. The objective of this study is to investigate the nursing care for pulmonary tuberculosis in HIV/AIDS patients. Two voluntary cases of pulmonary tuberculosis in HIV/AIDS patients, selected from the outpatient department, were studied between July and December 2016. The study employed tools such as patient medical records, patient and family interviews, observation of patient symptoms during care provision, and data collection and analysis using the Gordon’s 11-point Health Plan Framework. Orem's nursing theory was applied to assess and diagnose nursing care, ensuring alignment with daily patient needs and evaluating care outcomes.

     Study Results:The study involved two cases of newly diagnosed tuberculosis in individuals with HIV/AIDS. Case 1: Sputum test (AFB) negative, Lung x-ray found a cavity (cavitation) Case 2: MTB sputum test was positive. within a distance tuberculosis infection in a high-risk stage for transmission to others. Both cases received pulmonary tuberculosis treatment with the 2IRZE/4IR regimen, showing positive responses to the medication. Collaboration with the physician's treatment plan was excellent, and the assessment of case-specific health plans yielded similar nursing diagnoses in 8 out of 11 points. However, differences were observed in 1 point during the intensive treatment phase: Case 1 reported discomfort due to abdominal pain, while Case 2 had low potassium levels.